1 2455 191 YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION: RESULTS FROM BREATHEASY, A RANDOMIZED CLINICAL TRIAL. INTRODUCTION: THERE IS EVIDENCE THAT YOGA MAY BE HELPFUL AS AN AID FOR SMOKING CESSATION. YOGA HAS BEEN SHOWN TO REDUCE STRESS AND NEGATIVE MOOD AND MAY AID WEIGHT CONTROL, ALL OF WHICH HAVE PROVEN TO BE BARRIERS TO QUITTING SMOKING. THIS STUDY IS THE FIRST RIGOROUS, RANDOMIZED CLINICAL TRIAL OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKERS ATTEMPTING TO QUIT. METHODS: ADULT SMOKERS (N = 227; 55.5% WOMEN) WERE RANDOMIZED TO AN 8-WEEK PROGRAM OF COGNITIVE-BEHAVIORAL SMOKING CESSATION AND EITHER TWICE-WEEKLY IYENGAR YOGA OR GENERAL WELLNESS CLASSES (CONTROL). ASSESSMENTS INCLUDED COTININE-VERIFIED 7-DAY POINT PREVALENCE ABSTINENCE AT WEEK 8, 3-MONTH, AND 6-MONTH FOLLOW-UPS. RESULTS: AT BASELINE, PARTICIPANTS' MEAN AGE WAS 46.2 (SD = 12.0) YEARS AND SMOKING RATE WAS 17.3 (SD = 7.6) CIGARETTES/DAY. LONGITUDINALLY ADJUSTED MODELS OF ABSTINENCE OUTCOMES DEMONSTRATED SIGNIFICANT GROUP EFFECTS FAVORING YOGA. YOGA PARTICIPANTS HAD 37% GREATER ODDS OF ACHIEVING ABSTINENCE THAN WELLNESS PARTICIPANTS AT THE END OF TREATMENT (EOT). LOWER BASELINE SMOKING RATES (/=5 CIGARETTES/DAY, AGE 18-65) TO RECEIVE COGNITIVE BEHAVIORAL THERAPY FOR SC, PLUS A YOGA OR WELLNESS PROGRAM. MEASURES INCLUDED FEASIBILITY (RECRUITMENT, CLASS ATTENDANCE) AND ACCEPTABILITY (CUSTOMER SATISFACTION). WE ENROLLED 38 OF 49 ELIGIBLE MEN OF 167 SCREENED IN RESPONSE TO ADS (MEAN AGE 39.9 YEARS, +/-13.7) WHO SMOKED ON AVERAGE 18.6 CIGARETTES/DAY (+/-8.3). WELLNESS (75.8 %) VERSUS YOGA (56 %) MEN ATTENDED MORE SC CLASSES, P < 0.01. SIXTY PERCENT ATTENDED >/=1 YOGA CLASS. MEN REPORTED GREATER SATISFACTION WITH IN-HOUSE VERSUS COMMUNITY YOGA CLASSES. WELLNESS APPEARS TO BE THE PREFERRED INTERVENTION; RESULTS INDICATED THAT IT MAY BE MORE FEASIBLE AND SHOWED INCREASED ATTENDANCE AT SMOKING CLASSES. TO BE FULLY FEASIBLE, YOGA + SC MAY NEED TO BE A UNIFIED PROGRAM OFFERING ALL CLASSES TAILORED FOR MEN AND IN THE SAME LOCATION. 2015 13 628 33 DIFFERENCES BETWEEN VEGETARIAN AND OMNIVOROUS YOGA PRACTITIONERS-RESULTS OF A NATIONALLY REPRESENTATIVE SURVEY OF US ADULT YOGA PRACTITIONERS. BACKGROUND: TO EXAMINE THE PREVALENCE OF VEGETARIANISM AMONG YOGA PRACTITIONERS, AND TO EXPLORE DIFFERENCES AND SIMILARITIES BETWEEN YOGA PRACTITIONERS WHO ALSO USE VEGETARIAN DIET AND THOSE WHO DO NOT. DESIGN AND SETTING: USING CROSS-SECTIONAL DATA FROM THE 2012 NATIONAL HEALTH INTERVIEW SURVEY (NHIS) (N = 34,525), WEIGHTED FREQUENCIES FOR 12-MONTH PREVALENCE OF VEGETARIAN DIET USE AMONG YOGA PRACTITIONERS WERE ANALYZED. LOGISTIC REGRESSION ANALYSES WERE USED TO ANALYZE SOCIODEMOGRAPHIC AND CLINICAL PREDICTORS OF VEGETARIAN DIET USE. RESULTS: A TOTAL OF 1.7 MILLION US YOGA PRACTITIONERS HAVE USED A VEGETARIAN DIET IN THE PAST 12 MONTHS (8.3%), COMPARED TO 2.7 MILLION NON-YOGA PRACTITIONERS (1.3%). YOGA PRACTITIONERS WHO WERE AGED BETWEEN 30 AND 64 YEARS AS COMPARED TO BEING 29 YEARS OR YOUNGER WERE MORE LIKELY TO HAVE USED A VEGETARIAN DIET IN THE PAST 12 MONTHS; WHILE THOSE BEING IN A RELATIONSHIP (OR = 0.64), OVERWEIGHT (OR = 0.54), SMOKING (OR 0.64) OR HAVING PRIVATE HEALTH INSURANCE (OR = 0.59) WERE LESS LIKELY. VEGETARIAN DIET PRACTITIONERS MORE OFTEN INCLUDED MEDITATION AS PART OF THEIR YOGA PRACTICE AND MORE OFTEN CHOSE YOGA BECAUSE IT HAD A HOLISTIC FOCUS, AND WAS PERCEIVED TO TREAT THE CAUSE AND NOT THE SYMPTOMS OF THEIR HEALTH COMPLAINT. CONCLUSIONS: YOGA PRACTITIONERS FOLLOWING A VEGETARIAN DIET SEEM TO EMBRACE YOGA MORE AS A LIFESTYLE THAN AS A THERAPY. 2018 14 357 41 ASSOCIATION BETWEEN SUDARSHAN KRIYA YOGA AND HEALTHY LIFESTYLE PRACTICES AMONG WORKING ADULTS: A CROSS-SECTIONAL STUDY FROM SINGAPORE. OBJECTIVES: THERE IS A PAUCITY OF RESEARCH ON THE ASSOCIATION BETWEEN YOGIC BREATHING AND HEALTHY LIFESTYLE FACTORS IN WORKING ADULTS. ALSO, THERE IS VERY LITTLE INFORMATION ABOUT THE FREQUENCY OF YOGIC BREATHING PRACTICE AND ITS BENEFITS. THE AUTHORS INVESTIGATED THE RELATIONSHIP BETWEEN SUDARSHAN KRIYA YOGA (SKY) FREQUENCY AND THE LIKELIHOOD OF LEADING A HEALTHIER LIFESTYLE AMONG PRACTITIONERS AND NONPRACTITIONERS. DESIGN: CROSS-SECTIONAL INVESTIGATION ON NON-SKY AND SKY PRACTITIONERS, SKY WAS CATEGORIZED INTO NON-, MONTHLY, WEEKLY, AND DAILY PRACTITIONERS. CONFOUNDING VARIABLES INCLUDED AGE, GENDER, ETHNICITY, MARITAL STATUS, AND EDUCATION LEVEL. A MULTIVARIATE LOGISTIC REGRESSION MODEL WAS USED TO COMPARE PRACTICE FREQUENCIES WITH THE ODDS OF HAVING A HEALTHIER LIFESTYLE. SETTINGS: COMMUNITY CENTERS, COMMUNITY EVENTS, WORKPLACES, AND UNIVERSITIES THROUGHOUT SINGAPORE SUBJECTS: OF THE 531 WORKING ADULTS (54.8% FEMALE), 50.1% HAD A HEALTHIER LIFESTYLE >/= 4 HEALTHY LIFESTYLE FACTORS). OUTCOME MEASURE: HAVING A HEALTHIER LIFESTYLE WAS DEFINED AS HAVING >/= 4 HEALTHY LIFESTYLE FACTORS OUT OF SEVEN (SMOKING, ALCOHOL, DIET, EXERCISE, SLEEP, STRESS, AND WEIGHT). RESULTS: MULTIVARIATE ANALYSIS DEMONSTRATED THAT THOSE WHO PRACTICED SKY >/= 4 DAYS/WEEK HAD SIGNIFICANTLY HIGHER ODDS OF HAVING A HEALTHIER LIFESTYLE (ODDS RATIO = 3.62; 95% CONFIDENCE INTERVAL = 2.10-6.23). THE P FOR TREND ANALYSIS DEMONSTRATED THAT AS THE FREQUENCY OF PRACTICE INCREASED THE LIKELIHOOD OF HAVING A HEALTHIER LIFESTYLE ALSO INCREASED ( P < 0.001). CONCLUSION: THE PRACTICE OF YOGIC BREATHING MAY PROMOTE A HEALTHIER LIFESTYLE IN WORKING ADULTS. FURTHER EXPERIMENTAL AND LONGITUDINAL INVESTIGATIONS ARE WARRANTED. 2021 15 2055 32 THE ASSOCIATION OF SUDARSHAN KRIYA YOGA WITH HAPPINESS: A CASE-CONTROL OBSERVATIONAL STUDY FROM SINGAPORE. HAPPINESS IS A COMPLEX SUBJECTIVE EXPERIENCE THAT IS ESSENTIAL TO SOCIETAL PROGRESS. THIS STUDY INVESTIGATED THE ASSOCIATION BETWEEN SUDARSHAN KRIYA YOGA (SKY) AND SUBJECTIVE HAPPINESS IN SINGAPORE. SUBJECTIVE HAPPINESS DATA WERE COLLECTED FROM A CONVENIENCE SAMPLE (N = 733) COMPRISED OF 2 GROUPS: SKY (N = 385) AND NON-SKY (N = 348) PRACTITIONERS. SKY WAS CATEGORIZED INTO NON-, MONTHLY, WEEKLY, AND DAILY PRACTITIONERS AND HAPPINESS WAS CATEGORIZED INTO LOWER, MIDDLE AND HIGHER TERTILE GROUPS. CONFOUNDING VARIABLES INCLUDED AGE, GENDER, ETHNICITY, MARITAL STATUS, EDUCATION LEVEL, BODY MASS INDEX (BMI), SMOKING STATUS, ALCOHOL CONSUMPTION AND SELF-REPORTED HEALTH. DAILY SKY PARTICIPATION WAS POSITIVELY ASSOCIATED WITH A 2-FOLD HIGHER LIKELIHOOD OF BEING HAPPIER IN A MULTIVARIATE REGRESSION ANALYSIS. THE TREND ANALYSIS SHOWED THAT AS SKY FREQUENCY INCREASES, THE ODDS OF BEING HAPPIER INCREASES. THESE FINDINGS HELP GENERATE THE HYPOTHESIS THAT YOGIC BREATHING MAY PROMOTE HAPPINESS. FURTHER EXPERIMENTAL AND PROSPECTIVE INVESTIGATIONS ARE WARRANTED. 2021 16 1662 39 NATIONAL SURVEY OF YOGA PRACTITIONERS: MENTAL AND PHYSICAL HEALTH BENEFITS. OBJECTIVES: TO DESCRIBE YOGA PRACTICE AND HEALTH CHARACTERISTICS OF INDIVIDUALS WHO PRACTICE YOGA, AND TO EXPLORE THEIR BELIEFS REGARDING THE EFFECTS OF THEIR YOGA PRACTICE ON THEIR HEALTH. DESIGN: A CROSS-SECTIONAL DESIGN WITH ANONYMOUS ONLINE SURVEYS. SETTING: 4307 RANDOMLY SELECTED INDIVIDUALS FROM 15 US IYENGAR YOGA STUDIOS (N=18,160), REPRESENTING 41 STATES; 1087 INDIVIDUALS RESPONDED, WITH 1045 (24.3%) SURVEYS COMPLETED. OUTCOME MEASURES: FREIBERG MINDFULNESS INVENTORY, MENTAL HEALTH CONTINUUM (SUBJECTIVE WELL-BEING), MULTI-FACTOR SCREENER (DIET), PROMIS SLEEP DISTURBANCE, FATIGUE, AND SOCIAL SUPPORT, INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE. RESULTS: AGE: 19-87 YEARS (M=51.7 +/- 11.7), 84.2% FEMALE, 89.2% WHITE, 87.4% WELL EDUCATED (>/= BACHELOR'S DEGREE). MEAN YEARS OF YOGA PRACTICE=11.4 (+/- 7.5). BMI=12.1-49.4 (M=23.1 +/- 3.9). LEVELS OF OBESITY (4.9%), SMOKING (2%), AND FRUIT AND VEGETABLE CONSUMPTION (M=6.1 +/- 1.1) WERE FAVORABLE COMPARED TO NATIONAL NORMS. 60% REPORTED AT LEAST ONE CHRONIC/SERIOUS HEALTH CONDITION, YET MOST REPORTED VERY GOOD (46.3%) OR EXCELLENT (38.8%) GENERAL HEALTH. DESPITE HIGH LEVELS OF DEPRESSION (24.8%), NEARLY ALL WERE MODERATELY MENTALLY HEALTHY (55.2%) OR FLOURISHING (43.8%). PARTICIPANTS AGREED YOGA IMPROVED: ENERGY (84.5%), HAPPINESS (86.5%), SOCIAL RELATIONSHIPS (67%), SLEEP (68.5%), AND WEIGHT (57.3%), AND BELIEFS DID NOT DIFFER SUBSTANTIALLY ACCORDING TO RACE OR GENDER. THE MORE THEY PRACTICED YOGA, WHETHER IN YEARS OR IN AMOUNT OF CLASS OR HOME PRACTICE, THE HIGHER THEIR ODDS OF BELIEVING YOGA IMPROVED THEIR HEALTH. CONCLUSIONS: INDIVIDUALS WHO PRACTICE YOGA ARE NOT FREE OF HEALTH CONCERNS, BUT MOST BELIEVE THEIR HEALTH IMPROVED BECAUSE OF YOGA. YOGA MIGHT BE BENEFICIAL FOR A NUMBER OF POPULATIONS INCLUDING ELDERLY WOMEN AND THOSE WITH CHRONIC HEALTH CONDITIONS. 2013 17 363 36 ASSOCIATIONS BETWEEN YOGA/MEDITATION USE, BODY SATISFACTION, AND WEIGHT MANAGEMENT METHODS: RESULTS OF A NATIONAL CROSS-SECTIONAL SURVEY OF 8009 AUSTRALIAN WOMEN. OBJECTIVES: TO ANALYZE WHETHER YOGA OR MEDITATION USE IS ASSOCIATED WITH BODY (DIS)SATISFACTION AND WEIGHT CONTROL METHODS IN AUSTRALIAN WOMEN. METHODS: WOMEN AGES 34 TO 39 Y FROM THE AUSTRALIAN LONGITUDINAL STUDY ON WOMEN'S HEALTH WERE SURVEYED REGARDING BODY SATISFACTION, WEIGHT CONTROL BEHAVIORS, AND YOGA AND MEDITATION PRACTICE. ASSOCIATIONS OF BODY SATISFACTION AND WEIGHT CONTROL METHODS WITH YOGA/MEDITATION PRACTICE WERE ANALYZED USING CHI-SQUARED TESTS AND MULTIPLE LOGISTIC REGRESSION MODELLING. RESULTS: OF THE 8009 WOMEN, 49% WERE OVERWEIGHT OR OBESE. SIXTY-FIVE PERCENT OF WOMEN WITH NORMAL BODY MASS INDEX (BMI) AND APPROXIMATELY 95% OF WOMEN WITH OVERWEIGHT/OBESITY WANTED TO LOSE WEIGHT. AT LEAST ONE IN FOUR WOMEN WITH NORMAL BMI WAS DISSATISFIED WITH BODY WEIGHT AND SHAPE, AS WERE MORE THAN TWO IN THREE WOMEN WITH OVERWEIGHT/OBESITY. THE MOST COMMON WEIGHT CONTROL METHODS INCLUDED EXERCISING (82.7%), CUTTING DOWN MEAL SIZES (76.8%), AND CUTTING DOWN SUGARS OR FATS (71.9%). YOGA/MEDITATION WAS PRACTICED FREQUENTLY BY 688 WOMEN (8.6%) AND OCCASIONALLY BY 1176 WOMEN (14.7%). YOGA/MEDITATION USERS WITH NORMAL BMI WERE LESS LIKELY DISSATISFIED WITH BODY WEIGHT AND SHAPE. ALL YOGA/MEDITATION USERS MORE LIKELY EXERCISED AND FOLLOWED A LOW GLYCEMIC DIET OR DIET BOOKS; AND WOMEN WITH OBESITY OCCASIONALLY USING YOGA/MEDITATION ALSO MORE LIKELY USED FASTING OR SMOKING TO LOSE WEIGHT. CONCLUSION: YOGA/MEDITATION USERS WITH NORMAL BMI APPEAR TO BE MORE SATISFIED WITH THEIR BODY WEIGHT AND SHAPE THAN NON-YOGA/MEDITATION USERS. WHILE WOMEN WITH NORMAL BMI OR OVERWEIGHT TEND TO RELY ON HEALTHY WEIGHT CONTROL METHODS, WOMEN WITH OBESITY OCCASIONAL USING YOGA/MEDITATION MAY MORE LIKELY UTILIZE UNHEALTHY WEIGHT CONTROL METHODS. 2017 18 2437 34 YOGA AND PSYCHOPHYSIOLOGICAL DETERMINANTS OF CARDIOVASCULAR HEALTH: COMPARING YOGA PRACTITIONERS, RUNNERS, AND SEDENTARY INDIVIDUALS. BACKGROUND: THE EVIDENCE OF CARDIOVASCULAR BENEFITS OF YOGA IS PROMISING, BUT LACKS DEMONSTRATIONS OF SPECIFICITY COMPARED TO OTHER INTERVENTIONS. PURPOSE: THE PRESENT CROSS-SECTIONAL STUDY EXAMINED CARDIOVASCULAR HEALTH MARKERS IN LONG-TERM PRACTITIONERS OF YOGA (YOGIS), RUNNERS, AND SEDENTARY INDIVIDUALS. METHODS: WE COMPARED PHYSIOLOGICAL, PSYCHOLOGICAL, AND LIFESTYLE VARIABLES ASSOCIATED WITH CARDIOVASCULAR HEALTH ACROSS GROUPS. RESULTS: YOGIS (N = 47) AND RUNNERS (N = 46) SHOWED FAVORABLE PROFILES COMPARED TO SEDENTARY INDIVIDUALS (N = 52) ON HEART RATE, HEART RATE VARIABILITY, DEPRESSION, PERCEIVED STRESS, AND CIGARETTE SMOKING. RUNNERS AND MALE YOGIS SHOWED SUPERIOR AEROBIC FITNESS COMPARED TO THE SEDENTARY GROUP. RUNNERS REPORTED GREATER SOCIAL SUPPORT COMPARED TO OTHER GROUPS. YOGIS DEMONSTRATED A LOWER RESPIRATION RATE COMPARED TO SEDENTARY INDIVIDUALS AND WERE MORE LIKELY TO REFRAIN FROM EATING MEAT COMPARED TO OTHER GROUPS. CONCLUSIONS: YOGIS AND RUNNERS DEMONSTRATED SEVERAL CARDIOVASCULAR HEALTH ADVANTAGES OVER SEDENTARY INDIVIDUALS. OUR FINDINGS RAISE THE POSSIBILITY THAT YOGA MAY IMPROVE AEROBIC FITNESS IN MEN BUT NOT WOMEN. 2014 19 1445 39 INCREASING TREND OF YOGA PRACTICE AMONG U.S. ADULTS FROM 2002 TO 2017. INTRODUCTION: BENEFITS, RISKS, AND THE INCREASING POPULARITY OF YOGA USE WARRANT ASSESSING YOGA PRACTICE PREVALENCE AND USERS' PROFILES. THIS STUDY DESCRIBES TRENDS IN YOGA PRACTICE EXCLUSIVELY AMONG AMERICAN ADULTS FROM 2002 TO 2017, COMPARES THE PROFILE OF YOGA USERS, AND IDENTIFIES FACTORS RELATED TO YOGA USE OVER TIME. MATERIALS AND METHODS: THIS STUDY IS A SECONDARY ANALYSIS DONE IN 2019 AND 2020 USING THE NATIONAL HEALTH INTERVIEW SURVEY (NHIS) 2002, 2007, 2012, AND 2017 DATA. POPULATION WEIGHTS WERE USED TO OBTAIN STATISTICALLY ACCURATE ESTIMATES OF YOGA USE PREVALENCE FOR THE U.S. POPULATION. DESCRIPTIVE STATISTICS WERE USED TO PROFILE THE SOCIODEMOGRAPHIC AND HEALTH-RELATED CHARACTERISTICS OF YOGA USERS. MULTIVARIABLE LOGISTIC REGRESSION WAS USED TO IDENTIFY FACTORS ASSOCIATED WITH YOGA USE IN EACH COHORT DEFINED BY THE NHIS YEAR. RESULTS: YOGA PRACTICE PREVALENCE NEARLY TRIPLED FROM 5.1% IN 2002 TO 13.7% IN 2017 (WEIGHTED ESTIMATE 10,386,456 AND 32,761,194 AMERICAN ADULTS, RESPECTIVELY). TYPICAL YOGA USERS WERE YOUNG NON-HISPANIC SINGLE WHITE FEMALE ADULTS WITH BACHELOR OR HIGHER EDUCATION AND HEALTH INSURANCE, AND RESIDED IN THE WEST REGION OF THE UNITED STATES. YOGA USE PATTERN CHANGE OVER TIME WAS SIGNIFICANTLY RELATED TO ONLY YOUNGER AGE (P < 0.001) BUT NOT TO OTHER SOCIODEMOGRAPHIC OR HEALTH-RELATED FACTORS. CONCLUSIONS: YOGA HAS GAINED INCREASING POPULARITY IN THE PAST TWO DECADES AMONG AMERICAN ADULTS, WITH YOUNGER ADULTS BEING THE DRIVING FORCE. YOGA APPEARS TO BE ADOPTED FOR GENERAL WELL-BEING OR PREVENTION MORE THAN FOR SPECIFIC DISEASE TREATMENT. FUTURE RESEARCH SHOULD EVALUATE HOW YOGA CAN BE EFFECTIVELY AND SAFELY INTEGRATED INTO PREVENTIVE MEDICINE STRATEGIES. 2021 20 2734 42 YOGA PARTICIPATION ASSOCIATED WITH CHANGES IN DIETARY PATTERNS AND STRESS: A PILOT STUDY IN STRESSED ADULTS WITH POOR DIET. BACKGROUND AND PURPOSE: STRESS CONTRIBUTES TO DIETARY PATTERNS THAT IMPEDE HEALTH. YOGA IS AN INTEGRATIVE STRESS MANAGEMENT APPROACH ASSOCIATED WITH IMPROVED DIETARY PATTERNS IN BURGEONING RESEARCH. YET, NO RESEARCH HAS EXAMINED CHANGE IN DIETARY PATTERNS, BODY MASS INDEX (BMI), AND STRESS DURING A YOGA INTERVENTION AMONG STRESSED ADULTS WITH POOR DIET. MATERIALS AND METHODS: OBJECTIVELY-MEASURED BMI AND A BATTERY OF SELF-REPORT QUESTIONNAIRES WERE COLLECTED AT FOUR TIME POINTS DURING AND FOLLOWING A 12-WEEK YOGA INTERVENTION (N = 78, 71% WOMEN, MEAN BMI = 25.69 KG/M(2)+/-4.59) - PRE-TREATMENT (T1), MID-TREATMENT (6 WEEKS; T2), POST-TREATMENT (12 WEEKS; T3), AND AT 3-MONTH FOLLOW-UP (24 WEEKS; T4). RESULTS: T1 TO T3 FRUIT AND VEGETABLE INTAKE, BMI, AND STRESS SIGNIFICANTLY DECLINED IN THE OVERALL SAMPLE. REDUCTION IN VEGETABLE INTAKE WAS NO LONGER SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN CALORIC INTAKE, AND REDUCTION IN CALORIC INTAKE REMAINED SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN STRESS. CONCLUSION: FINDINGS MAY BE INTERPRETED AS YOGA EITHER ENCOURAGING OR ADVERSELY IMPACTING HEALTHY DIETARY PATTERNS (I.E., MINIMIZING LIKELIHOOD OF FUTURE WEIGHT GAIN VS. DECREASING VEGETABLE INTAKE AND OVERALL CALORIC INTAKE AMONG INDIVIDUALS WHO MAY NOT NEED TO LOSE WEIGHT, RESPECTIVELY). CONTINUED RESEARCH IS WARRANTED, UTILIZING CAUSAL DESIGNS. 2021